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The Hashemite Kingdom of Jordan Ministry of Health Annual Report 2016

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The Hashemite Kingdom of Jordan Ministry of Health Annual Report 2016 The Hashemite Kingdom of Jordan Ministry of Health Non-Communicable Diseases Directorate National Registry of End Stage Renal Disease (ESRD) Annual Report 2016 www.moh.gov.jo Tel: 5678197 Fax: 5656489 Jordan The Hashemite Kingdom of Jordan Ministry of Health Non-Communicable Disease Directorate National Registry of End Stage Renal Disease (ESRD) Annual Report 2016 Prepared by: Dr. Salem Al-Qaisi Dr . Majed Asaad His Majesty King Abdullah II List of the team who participated in producing this ESRD annual report: Dr. Mohammad Salameh El-Lozi Senior Consultant in Internal Medicine, Nephrology and Transplantation. MRCP (UK). FRCP (London). FRCP (Glasgow), Private sector and P.H.H. Dr. Khaled Ali Zayed Nephrologist, MOH. Dr. Tayseer Saheb Family medicine consultant – MOH/NCD Directorate. Dr. Kamal Hassan Arkoub Specialist in Community Medicine. MOH. 5 Foreword It is my great pleasure to present to you the ninth report of the Jordan National End Stage Renal Disease Registry (ESRDR) for the year 2016.We hope that this report will assist health care providers, public health officers, NGOs in their work to prevent and control renal diseases in Jordan. As a Minister of Health, I will assure that Jordan ESRD Registry will receive all the support that the ministry can offer. The annual report of the Jordan Renal Registry explores the trends and characteristics of (ESRD) in Jordan and clarifies many misconceptions, while providing informative and reliable data to help in policy building at a national level. The data presented in this report constitutes an organized and systematic data of ESRD registry, it provides prevalence, incidence and burden of ESRD in Jordan, and it will provide readers with information on the epidemiology of ESRD in Jordan and its distribution by age groups, gender, and governorates. It also assists researchers, renal diseases experts, and policy makers in identifying priorities for developing national strategies and programs for renal diseases early detection as well as prevention programs. I express my gratefulness and appreciation to everyone who helped in the preparation and dissemination of this report, and assures all of you that the Ministry of Health will continue to support National End Stage Renal Diseases Registry by all available resources to make its mission ongoing and of greatest benefit. Minister of Health Prof. Dr. Mahmoud Al-sheyyab 6 Acknowledgement The National ESRD Registry operates under the umbrella of the Ministry of Health; however, it works in cooperation with a large number of hospitals from all health sectors, Nephrologists and Nurses working in dialysis units who provide the registry with valuable and vital data required for success. We would like to thank all those who cooperate with us, report and facilitate our work, namely Nephrologists, Physicians, Nurses and staff of the Dialysis Units. The obvious support of focal points in all dialysis units is highly appreciated. We would like to thank Mr. Haytham Shgairat and Mrs. Rasha Kokash for their effort in data entry of all ESRD Data to special designed software for the Registry. Special thanks to our focal points-head of Renal unit in all governmental, private, military and university hospitals for the timely collection and submission of data to the registry. The interaction between the Registry and the Jordan Society of Nephrolog y is very positive and greatly appreciated. The dedicated hard work during the process of data collection and data entry of the staff in the registry is acknowledged. We are very grateful to the Eastern Mediterranean Public Health Net Work (EMPHNET) for its support in preparing and publishing this report. General Director PHC Director of NCD Directorate Dr. Ayoub As-sayaideh Dr. Majed Assad Head of National ESRD Registry Dr. Salem Al-Qaisi 7 Name of Hospitals Royal Medical Services Hospital Name Site Phone number King Hussein Medical center Amman 5804804 Prince Hashem Bin Al Hussein Zarqa’a 3962002 Prince Hashem Bin Abudullah Aqaba 2014111 Prince Ali Bin Al Hussein Karak 2386370 Prince Rashid bin Al Hassan Irbid 7100890 Prince Zeid bin Hussein T a fi e l a 2242982 Queen Rania Hospital Amman 5804804 Ministry of Health Hospital Name Site Phone number Al-Basher Hospital Amman 4775111 Abu Obaida Hospital Irbid 026570018 Hussein Hospital Balqa 053551140 Karak Hospital Karak 032386190 Ruweished Hospital Mafraq 026292183 Maan Hospital Maan 032132222 Mafraq Hospital Mafraaq 026231234 Princess Iman Balqa 053584934 AL-Zarqa’a Hospital Zarqa 05398332 Jamel Altotnge Amman 4020096 Yarmouk Hospital Irbid 027585980 Princess Raya Irbid 026521666 G h o r S a fi H o s p i t a l Karak 032302436 Prince Hamza Hospital Amman 5053826 Queen Rania Al-Abdullah Maan 032150636 8 Ramtha Hospital Irbid 027384384 Iman Hospital / Ajloun Ajloun 026421914 Princess Salma Hospital Madaba 053207104 Jerash Hospital Jerash 026351114 Moaz bin Jabal Irbid 026587011 Princess Basma Teaching Irbid 027275555 Nadeem Hospital Madaba 053244008 AL-Shoneh AL-Janobyeh Balqa 053581364 Prince Hussein Balqa 5351731 Al-badeya Hospital Mafraq 026298040 Aqleh Hospital Amman 4642441 AL-Ahli Hospital Amman 5664164 AL-Dleel Hospital Zarqa 053825144 Roum-AlCatholic Hospital Irbid 027257900 AL Haya Hospital Amman 4391111 Prince Faisal Hospital Zarqa 053740251 Al-Qawasmi Hospital Irbid 027243401 Al-Najah Hospital Irbid 027100170 Al-Khansa’a Hospital Amman 4898893 University Hospitals Hospital Name Site phone number Jordan University Hospital Amman 5353666 King Abdullah University Irbid 027200600 Private Sector Hospitals Hospital Name Site Phone Number Islamic Hospital Amman 5101010 Jordan Hospital Amman 5608080 AL-Qouds Hospital Amman 4387181 9 Shmeisani Hospital Amman 5607431 Specialty Hospital Amman 5609609 Aljazeera Hospital Amman 5657581 Ibn al-Haytham Hospital Amman 5205555 Arab Medical Center Amman 5921199 Dr. Ahmed Hamayda Hospital Amman 4785555 AL Esteqlal Hospital Amman 5652600 Luzmila Hospital Amman 4624345 AL Isra Hospital Amman 5300300 Marka Islamic Amman 4893855 Palestine Hospital Amman 5607071 Philadelphia Hospital Amman 5854801 Tla Al Ali Hospital Amman 5339008 AL Hanan Hospital Amman 4750800 Amman Surgical Hospital Amman 4641261 Italian Hospital / Amman Amman 4777101 AL-Rasheid Hospital Amman 4777444 Dar AL-Salam Hospital Amman 5850008 Algardens Hospital Amman 5777111 Almaqased Hospital Amman 4377000 Jordanian Red Crescent Amman 4779131 Italian Hospital / Karak Karak 032355345 AL Mahaba Hospital Madaba 053245541 AL Hekma Hospital Zarqa 053990990 AL Razi Hospital Zarqa 053744167 Jabal Al-Zayton Hospital Zarqa 053655555 Qaser Al-Shibib Hospital Zarqa 053987995 Irbid Specialty Hospital Irbid 027103100 Ibin Al-Nafees Hospital Irbid 027102100 Al-Rahbat Al-Wardyeh Irbid 027102011 Islamic Irbid Hospital Irbid 027273111 10 Table of Contents List of Abbreviations 12 List of tables 13 List of Figures 14 Part One: 16 Introduction 17 Geography 18 Population 18 Jordan Renal Registry 26 Methodology 30 Part Two: 32 Dialysis Units in Jordan- prevalence 32 Part Three: 34 ESRD Patients in Jordan 34 Trend of ESRD patients in Jordan during (2008-2016) Part Four: 48 Incidence of ESRD Patients in Jordan 48 Part Five: 56 Pediatric ESRD 56 Part Six: 61 ESRD patients among Non-Jordanians 61 Part seven: 64 ESRD Mortality 64 References 67 11 List of Abbreviations ESRD End Stage Renal Disease MOH Ministry of Health CDC Centers of Disease Control and Prevention WHO World Health Organization BRFSS Behavioral Risk Factors Surveillance System NCD Noncommunicable Disease PHH Prince Hamza Hospital DOS Department of Statistics (Jordan) OR Odds Ratios BMI Body Mass Index CI Confidence Interval PS Private Sector CKD Chronic Kidney Disease GFR Glomerular Filtration Rate RRT Renal Replacement Therapy RMS Royal Medical Services PPM Prevalence per Million Populations ASIR Age Specific Incidence Rate JCR Jordan Cancer Registry IMR Infant Mortality Rate AKI Acute Kidney Injury SLE Systemic Lupus Erythematosus 12 List of tables Table N. Description Page Table (1) Estimated Population of Jordan 2016 20 Population distribution by Governorate and gender, Table (2) 21 Jordan2016 Selected Demographic, Socio-economic and Health Table (3) 22 Indicators 2016 Distribution of ESRD according to age groups, gender and Table (4) 38 Prevalence Rate per million (PPM), 2016 Distribution of ESRD patients according to marital status Tables (5) 40 and gender 2016 Distribution of ESRD patients by employment status and Table (6) 41 gender,2016 Distribution of ESRD patients by type of insurance and Table (7) 42 gender 2016 Distribution of ESRD patients by Governorate and prevalence Table (8) 43 per million populations (PPM) Table (9) Distribution of primary causes of ESRD for the year 2016 44 Table (10) Prevalence of co-morbidity and some risk factors with ESRD 45 Table (11) Distribution of ESRD patients by fitness for transplantation 47 Table (12) Causes of unfitness for transplantation 48 Table (13) Priority level for patient candidate for transplant 49 Table (14) Prevalence of Hepatitis B and C in ESRD patients 50 Distribution and ASIR of ESRD cases by gender and age Table (15) 52 group Incidence 2016 Table (16) Primary causes of ESRD for the year 2016 - Incidence 55 Table(17) Causes of ESRD in Pediatric patients 2016 61 Distribution of mortality in ESRD patients by age group and Table (18) 66 gender Distribution of ESRD patients among Non-Jordanians Table (19) 69 according to age groups and gender, 2016 13 List of Figures Figure N. Description Page Figure (1) Map of the Hashemite Kingdom of Jordan 19 Figure
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